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Long-term outcomes of elderly patients receiving continuous flow left ventricular support

Nicolas A Brozzi1, Renzo O Cifuentes1, Isabela C Saba1

  • 1Department of Surgery, Division of Thoracic Transplantation and Mechanical Circulatory Support, Miller School of Medicine, University of Miami, Miami, Florida, USA.

Journal of Cardiac Surgery
|October 1, 2020
PubMed

Insights

Elderly patients with advanced heart failure show comparable outcomes and low complication rates when treated with continuous-flow left ventricular assist devices. This therapy offers a safe alternative to heart transplantation for older adults.

Area of Science:

  • Cardiology
  • Medical Devices
  • Geriatrics

Background:

  • Heart failure affects over 6 million Americans, with 80% of patients older than 65.
  • Heart transplantation, the gold standard, is less accessible to elderly patients (only 18.5% are 65+).
  • Continuous-flow left ventricular assist devices (CF-LVADs) provide a safe and effective treatment for advanced heart failure.

Purpose of the Study:

  • To evaluate the long-term outcomes of elderly patients receiving CF-LVADs.
  • To compare the safety and efficacy of CF-LVADs in older adults versus younger patients.

Main Methods:

  • Retrospective analysis of elderly patients who received CF-LVADs.
  • Characterization of long-term clinical outcomes and complication rates.

Main Results:

  • Elderly patients demonstrated comparable operative results to younger counterparts.
  • Low rates of complications were observed up to 6 years of CF-LVAD support.
  • Outcomes in elderly patients were comparable to those in younger patient groups.

Conclusions:

  • CF-LVADs are a safe and effective alternative for elderly patients with advanced heart failure.
  • This therapy provides a viable option for patients less likely to receive a heart transplant.
  • Long-term support with CF-LVADs is feasible and beneficial for the aging heart failure population.
Abstract

Keywords:
LVADleft ventricular support

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